To provide strategic and operational direction to optimise and manage the end-to-end claims value chain within the Core Operations area. -Develops the overall strategy for the claims management of the Insurance business. The Incumbent would lead and manage multiple business areas within the Claims function
Qualifications
Type of Qualification:
First Degree
A relevant bachelor's degree (LLB, BCOM, Risk Management)
A Post Graduate qualification advantageous
Experience Required
Experience with exposure to Legal, claims operations, Personal and commercial Lines claims.
Compliance and Risk Management and project experience
Insurance Products and Services:
Knowledge and understanding of the range of insurance products and services available in the market and how that can be used to meet client's needs.
Insurance Risk Management:
Knowledge and understanding of the factors that affect the performance of an underwriting portfolio and how risk exposure can be monitored and controlled. Understanding of the basic principles of insurance including good faith, insurable interest, indemnity, contribution, subrogation and proximate cause.
Insurance operations and process:
Knowledge and understanding of the process to determine risk premiums payable and Knowledge and understanding of how claims are managed.
Underwriting process:
Knowledge and understanding of the organisation's underwriting processes and procedures which is needed for new risks, alteration, renewals and cancellations to be processed in an accurate and timely manner.
Risk perception and assessment:
Knowledge and understanding of the information gathering process, the factors that affect the accepting and underwriting of risks and how these are applied on a day-to-day basis.
Insurance Customer:
The ability to assess if a customer qualifies to receive the services applied for, based on established parameters and criteria.
Additional Information
Behavioural Competencies:
Articulating Information
Challenging Ideas
Convincing People
Developing Expertise
Developing Strategies
Embracing Change
Empowering Individuals
Establishing Rapport
Making Decisions
Providing Insights
Resolving Conflict
Valuing Individuals
Technical Competencies:
Customer Service Management
Process Improvement
Market Analysis
Budget Management
Training and Development
Project Management
Risk Assessment
Regulatory Compliance
Data Analysis
Negotiation
Presentation Skills
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